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Timing Considerations for Sleeve Gastrectomy in Kidney Transplant Patients: A Single Center Evaluation.

Publication ,  Journal Article
Spaggiari, M; Martinino, A; Bencini, G; Masrur, MA; Petrochenkov, E; Lian, A; Olazar, J; Di Cocco, P; Almario-Alvarez, J; Benedetti, E; Tzvetanov, I
Published in: Transplant international : official journal of the European Society for Organ Transplantation
January 2024

Current scientific literature is deficient in detailing the optimal timing for conducting bariatric surgery in relation to kidney transplantation. In this study, we performed a retrospective evaluation of kidney transplant recipients with BMI >35 kg/m2. It aimed to provide data on those who received both sleeve gastrectomy (SG) and kidney transplantation (KT) simultaneously, as well as on patients who underwent SG and KT at different times, either before or after. In addition, the acceptance levels of the bariatric surgery among different scenarios were assessed. Our findings demonstrated that combined KT and SG led to successful weight loss, in contrast to undergoing kidney transplant alone, while maintaining comparable rates of graft and patient survival. Weight loss was similar between recipients who had a combined operation and those who underwent SG following the transplant. Additionally, over a median time frame of 1.7 years, patients who underwent SG before KT exhibited a statistically significant reduction in BMI at the time of the transplant. Notably, our study highlights that patients offered the combined procedure were significantly more likely to undergo SG compared to those for whom SG was presented at a different operative time than the transplant.

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Published In

Transplant international : official journal of the European Society for Organ Transplantation

DOI

EISSN

1432-2277

ISSN

0934-0874

Publication Date

January 2024

Volume

37

Start / End Page

12690

Related Subject Headings

  • Weight Loss
  • Treatment Outcome
  • Time Factors
  • Surgery
  • Retrospective Studies
  • Operative Time
  • Obesity, Morbid
  • Middle Aged
  • Male
  • Kidney Transplantation
 

Citation

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Spaggiari, M., Martinino, A., Bencini, G., Masrur, M. A., Petrochenkov, E., Lian, A., … Tzvetanov, I. (2024). Timing Considerations for Sleeve Gastrectomy in Kidney Transplant Patients: A Single Center Evaluation. Transplant International : Official Journal of the European Society for Organ Transplantation, 37, 12690. https://doi.org/10.3389/ti.2024.12690
Spaggiari, Mario, Alessandro Martinino, Giulia Bencini, Mario A. Masrur, Egor Petrochenkov, Amy Lian, Joanna Olazar, et al. “Timing Considerations for Sleeve Gastrectomy in Kidney Transplant Patients: A Single Center Evaluation.Transplant International : Official Journal of the European Society for Organ Transplantation 37 (January 2024): 12690. https://doi.org/10.3389/ti.2024.12690.
Spaggiari M, Martinino A, Bencini G, Masrur MA, Petrochenkov E, Lian A, et al. Timing Considerations for Sleeve Gastrectomy in Kidney Transplant Patients: A Single Center Evaluation. Transplant international : official journal of the European Society for Organ Transplantation. 2024 Jan;37:12690.
Spaggiari, Mario, et al. “Timing Considerations for Sleeve Gastrectomy in Kidney Transplant Patients: A Single Center Evaluation.Transplant International : Official Journal of the European Society for Organ Transplantation, vol. 37, Jan. 2024, p. 12690. Epmc, doi:10.3389/ti.2024.12690.
Spaggiari M, Martinino A, Bencini G, Masrur MA, Petrochenkov E, Lian A, Olazar J, Di Cocco P, Almario-Alvarez J, Benedetti E, Tzvetanov I. Timing Considerations for Sleeve Gastrectomy in Kidney Transplant Patients: A Single Center Evaluation. Transplant international : official journal of the European Society for Organ Transplantation. 2024 Jan;37:12690.
Journal cover image

Published In

Transplant international : official journal of the European Society for Organ Transplantation

DOI

EISSN

1432-2277

ISSN

0934-0874

Publication Date

January 2024

Volume

37

Start / End Page

12690

Related Subject Headings

  • Weight Loss
  • Treatment Outcome
  • Time Factors
  • Surgery
  • Retrospective Studies
  • Operative Time
  • Obesity, Morbid
  • Middle Aged
  • Male
  • Kidney Transplantation